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Case Management Associate - FT - Days- Case Management - Southwest MedicalCenter

Company: INTEGRIS Health
Location: Oklahoma City
Posted on: November 23, 2020

Job Description:

Case Management Associate

Job Code: 1800

Position Summary:

The Case Management Associate educates patients, families, and staff on the benefits and availability of home health care, hospice, skill nursing facilities, nursing homes, rehabilitation services, and home infusion services. Coordinates care in homebound service areas. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires.

Case Management Only:

Completes the plan for discharge after the Social Worker or RN Case Manager have assessed and completed recommendations for the plan of care. Coordinates receipt of appropriate documentation and arranges transportation to support a smooth transition. Completes any clerical duties associated with the plan of care including utilization management.

INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Essential Functions:

The Case Management Associate responsibilities include, but are not limited to, the following:

* Identifies potential candidates who could benefit from homebound services.

*Educates the patient/family prior to discharge regarding home health care, skilled nursing, nursing home, rehab, hospice and home infusion services that are available.

* Facilitates effective communication regarding the qualifying criteria for admission to various venues for post -acute hospital care.

* Documents the referral in the medical record according to departmental policy.

* Serves as a resource to the Physician, Case Manager, Social Worker and interdisciplinary team regarding post-acute care needs

* Educates patients on standards of quality for patient satisfaction measures.

Case Management Only:

* Keeps constant communication between the patient, family, RN Case Manager and the Social Work Team as to the status of all pending discharge arrangements.

* Responsible for communication of appropriate medical records to receiving agency/facility and to the appropriate payer.

For INTEGRIS Decisions Only:

* Completes a comprehensive assessment of patients clinical, psychological and financial needs utilizing all available resources.

* Recommends and coordinates timely transfers to appropriate levels of care as indicated by clinical needs and utilization criteria.

* Develops, implements, evaluates and revises, as necessary, a plan for discharge, including referrals to other health care and community organizations based on needs assessment.

* Assists physicians and hospital staff in appropriate utilization of resources through application of utilization criteria and facilitating timely discharge planning for patients.

* Coordinates services between hospital departments to facilitate timely patient discharge.

* Notifies designated internal and external contacts of utilization issues that may affect patient care and/or reimbursement.

* Facilitates patient transfers to other health care organizations in accordance with hospital policies and all-applicable state and federal guidelines and regulations.

* Provides documentation daily in patients' charts on each group facilitated.

* Facilitates discharge planning to assist patients in placement and treatment following discharge.

* Participates in the development of patient plans of care to address goals of the patient (emotional, physical, spiritual, environmental) by attending treatment team meetings.

* Completes or facilitates the completion of Emergency Detention paperwork, as well as ensure its distribution and receipt by legally designated individuals.

* Provides physician ordered therapy in the areas of individual, family and marital sessions.

* Develops and facilitates age and developmentally appropriate patient psychotherapeutic groups, education and recreational groups to address the emotional, physical and environmental needs of Mental Health and/or Chemically Dependent patients.

* Is responsible for reviewing and noting physician orders.

* Monitors patients' medications and provide education related to use and side effects.

* Monitors vital signs as indicated by physician orders or if deemed medically necessary.

* Assesses patients for appropriateness of admission to the program.

Accountability:

Reports to assigned manager.

Required Physical Demands (Subject to Reasonable Accommodation):

Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time

Standing/Walking: Frequently; activity exists from 1/3 to 2/3 of the time

Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)

Talking (Must be able to effectively communicate verbally): Yes

Seeing: Yes

Hearing: Yes

Color Acuity (Must be able to distinguish and identify colors): No

This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.

Environmental Conditions:

Normal office environment. When working in clinical areas, potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.

All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Qualifications:

* Bachelors degree in health related field; or Bachelors degree in business field with 2 additional years of healthcare experience; or Associate degree with 3 years experience in a variety of clinical settings (i.e., home health, inpatient, physician office, clinic, outpatient, community based); or an Associate degree in nursing (RN) with 2 years of nursing experience; or License Practical Nurse (LPN) with 3 years of nursing experience.

* 2 years experience in home health preferred

* Experience in healthcare education, marketing, public relations and/or communications preferred

* Clinical experience and/or license preferred

* Must be able to communicate effectively in English (Verbal/Written)

Keywords: INTEGRIS Health, Oklahoma City , Case Management Associate - FT - Days- Case Management - Southwest MedicalCenter, Other , Oklahoma City, Oklahoma

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